Social Phobia, Coping Strategies, And Socio-Demographic Associations Among Late Adolescents: A Cross-Sectional Study, Ezhilan B U, Jesymol Joy, Smitha Chandrashekarappa Dr.

Digital Journal of Clinical Medicine

Background: Adolescence is a transitional period from childhood to adulthood, often marked by psychological challenges such as social anxiety, also known as social phobia. It is characterized by excessive fear of social interactions and can lead to impaired functioning or depression. Globally, its prevalence ranges from 6-10% in developed countries and 10-44% in developing countries. Coping strategies play a crucial role in managing social phobia, varying by individual characteristics. This study aimed to determine the prevalence of social phobia, identify coping strategies, and evaluate their association with socio-demographic factors among late adolescents.

Methodology: A cross-sectional study was conducted …

Purposeful Rounds: A Structured Fall Prevention Plan: Final Report, Cincerlyn Lewis

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls are the most frequently reported preventable events in hospitalized patients.  Falls in the project unit were increasing, and a gap analysis revealed variation in how nurses assessed fall risk and implemented interventions. Evidence indicated that inconsistent rounding undermined situational awareness and delayed identification of patient needs. This gap highlighted the need for a structured, evidence‑based rounding process to improve consistency and reliability.

Aim of the project: The Purposeful Rounds (PR) project aimed to implement a structured process to improve rounding consistency and staff responsiveness, while reducing fall rates over a 12‑week period.

Review of the Evidence: Evidence-based literature …

Skin Is In: Promoting Breastfeeding Through Immediate Cesarean Skin-To-Skin, Autumn Spencer

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) and the American College of Obstetricians and Gynecologists identify immediate, uninterrupted skin-to-skin contact as a standard of care that improves neonatal stability, breastfeeding outcomes, and maternal satisfaction. Despite these recommendations, timely initiation following cesarean birth remains inconsistent. At the project site, skin-to-skin initiation averaged 72 minutes after birth, exceeding the 10-minute benchmark, and exclusive breastfeeding rates were below the national standard of 70%. Contributing barriers included workflow variability, unclear role expectations, and inconsistent communication.

Aim of the Project: The aim of the project was to improve infant and maternal …

A Quality Improvement Approach To Reducing Chronic Obstructive Pulmonary Disease Readmissions, Florwisse Rubio

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem:

The problem identified at the project site is that care transitions for patients with COPD lack standardized discharge processes, leading to inconsistent education, limited follow-up, and poor coordination of care.

Aim of the Project:

The primary aim was to improve patient outcomes by reducing the 19.6% 30-day readmissions among older adults diagnosed with COPD at the selected project site by implementing a standardized discharge intervention over 12 weeks, measuring progress, and ensuring appropriate workflow. The initiative of this project sought to foster a sense of proper continuity of care through timely follow-up, interprofessional communication among patients and providers, and …

Enhancing Clinical Care Quality Through 1-On-1 Quality Improvement Education In Family Medicine, Jude K A Des Bordes, Shira K. Goldstein, Nahid J. Rianon

HCA Healthcare Journal of Medicine

Background

Ongoing improvement and evaluation of clinical care are essential to maintaining high standards. The Accreditation Council for Graduate Medical Education (ACGME) requires all accredited family medicine programs to provide quality improvement (QI) education. Given competing educational demands, residency programs must adopt innovative approaches to teaching QI. This article describes an individualized approach to QI education that we implemented in our family medicine residency program and the outcome of its evaluation.

Methods

Guided by a logic model and evaluated using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework, this quasi-experimental 1-group pre-test-post-test study (July 2022-June 2023) involved all second-year …

Assessment And Intervention For Health Behavior Change In Primary Care Across The Lifespan: A Guide For Residents In Primary Care Specialties, Stacy A. Ogbeide, Alexis Ramos, Bridget Murphy, Angel Ogbeide

HCA Healthcare Journal of Medicine

More than 45% of Americans have at least 1 chronic disease, with chronic disease also being a leading cause of death in the United States. In primary care settings, about 75% of visits are for management of multiple chronic diseases. Due to the increasing medical complexity of patients who present to primary care, these numbers make it more challenging for Primary Care Clinicians (PCCs) to manage these conditions alone and point to the need for innovative solutions to chronic disease care. One evidence-based innovation is team-based care to improve the treatment of these conditions. Clinicians such as clinical pharmacists, registered …

Dnp Final Report: Enhancing Radiation Oncology Training For Advanced Practice Providers, Katherine A. Bukolt

DNP Final Reports

Background: Rising cancer incidence and improved survivorship are straining the oncology workforce, increasing reliance on Advanced Practice Providers (APPs). However, there is a lack of standardized educational resources for APP radiation oncology training across practice settings. Most APPs receive variable, resource-dependent, and on-the-job training. Evidence shows that the lack of standardized training leads to gaps in foundational knowledge, reduced confidence in toxicity management, inconsistent role development, and variable satisfaction with training and transition into practice.

Purpose: This quality improvement project evaluated the feasibility of implementing an 18-module Advanced Practice Radiation Oncology (APRO) asynchronous online curriculum to standardize APP radiation oncology …

Surviving Sepsis 2026: Key Updates, Amanda Rawa, Katherine Ghattas

Transformative Medicine

The 2026 update to the Surviving Sepsis Campaign guidelines introduces several important changes in the management of sepsis and septic shock, with a greater focus on tailoring treatment to individual patients. Notable updates include lower blood pressure targets for older adults with septic shock, continued support for early fluid resuscitation, the selective use of rapid diagnostic testing to guide antibiotic therapy, and increased flexibility in vasopressor selection for patients with cardiac dysfunction. These recommendations are based on emerging evidence aimed at improving patient outcomes while reducing unnecessary interventions and treatment-related complications. Overall, the updated guidelines reinforce a more personalized approach …

Scholarship, Discovery, And The Formation Of Physicians, Anderson Spickard

Cumberland Medica

The launch of Cumberland Medica marks an important milestone for the Thomas F. Frist, Jr. College of Medicine. More than a journal, it reflects something we hope will be deeply woven into our culture: a community of learners committed to discovery, scholarship, and the formation of physicians. This issue showcases the work of our students while also reflecting the scholarship, mentorship, and educational leadership of faculty and staff. More importantly, it reflects our belief that scholarship is not simply about producing knowledge. It is one of the ways physicians learn how to see.

Improving Procedural Confidence: Outcomes Of A Surgical Skills Workshop For Medical Students, Mary Arden G Guillory, Jennifer Escamilla, Anika Doppalapudi, Ashlyn Holubar, Kaitlyn Ybanez, Mark Manickath, Maci Oestreich, Mckenna Stallworth, Kelsey Baker

School of Medicine Publications

Introduction Introducing surgical skills early in medical training may enhance students' confidence and readiness for clinical training. Simulation-based skill workshops provide students with a comfortable learning environment, resulting in effective learning. The goal of the Surgical Skills Workshop was to provide first- and second-year medical students with hands-on exposure to essential surgical skills. The educational impact on medical students' confidence in performing the respective surgical skills and changes in surgical career interest was assessed.

Methods: First- and second-year medical students at the University of Texas Rio Grande Valley School of Medicine participated in a hands-on surgical skills workshop comprising eight …

From Fly On The Wall To Future Colleagues: Best Practice Recommendations For Medical Student Shadowing Programs, Molly Estes, Danielle Matonis, Mckenna Knych, Brian Barbas, Ronnie Ren, William Dixon, Michael Pasirstein, Xiao C. Zhang, Kaitlin Bowers, Ravi R. Chauhan, Laryssa A. Patti

Department of Emergency Medicine Faculty Papers

BACKGROUND: Physician shadowing is a common component of early medical education and frequently represents students' first exposure to clinical practice. Despite its prevalence, existing guidance primarily targets learners rather than physicians supervising shadowing experiences. This gap is especially relevant in the emergency department (ED), where high patient acuity, workflow demands, and complex clinical environments create challenges for providing safe and meaningful observational learning. We sought to develop consensus-based best practice recommendations for ED faculty supervising medical student shadowing.

METHODS: We conducted a modified Delphi study using an online survey platform to achieve panelist consensus. Ten emergency medicine educators with a …

Intouch Week Of June 22, 2026, New York Medical College

InTouch

• Sixth Annual NYMC Golf Tournament Drives Support for Future Health Care Leaders
• Center for Disaster Medicine Receives NYS Funding
• Dean’s Faculty Awards Recognize Excellence in Teaching, Mentoring, and Service
• Football Associated with Nearly One in Five Brain Injuries in Youth Sports
• Touro College of Dental Medicine Hosts Its Ninth Annual Golf, Tennis and Mahjong Event
• Alumni Spotlight: Sumaita Mahmood, M.D./M.P.H. ’26, Receives National Public Health Award

Automated Alerts To Improve Timely Evaluation And Treatment Of Valvular Heart Disease: The Alert Trial., Wayne B Batchelor, Brian R Lindman, Megan Coylewright, Antoine Keller, Brody Wehman, Adnan Chhatriwalla, Sandeep M Patel, Kevin Stiver, Firas Zahr, Miguel Sotelo, Dongho Shin, Chris Rogers, Graeme L Hickey, Jamie Williams, Myra Fan, Sreekanth Vemulapalli

Medical Education Articles

BACKGROUND: Severe aortic stenosis (AS) and mitral regurgitation (MR) are frequently undertreated and characterized by persistent sex, racial and ethnic, socioeconomic, and geographic disparities despite effective valve therapies. Whether automated electronic clinician notification (ECN) alerts improve the evaluation and treatment of AS and MR across health systems is unknown.

OBJECTIVES: The purpose of this study was to evaluate whether ECN alerts improve guideline-directed evaluation and treatment of significant AS and MR across multiple health systems.

METHODS: ALERT is a multisystem, cluster-randomized clinical trial including clinicians ordering echocardiograms across 5 U.S. health systems encompassing 35 hospitals between August 2024 and September …

Quality In Action: A Systematic Approach To Central Line Associated Bloodstream Infection Prevention, Jennifer E. Jones, Maggie Simons, Sherri Hoard, Gabriel Laney, Adam Nicholson, Victoria Springvloed, Tracy James, Erica Tuffs

Posters

Central line associated bloodstream infections (CLABSIs) are a major source of morbidity, mortality, and increased healthcare costs in hospitalized patients. Reducing CLABSI rates requires more than isolated interventions; it demands a coordinated, multi-disciplinary strategy that addresses clinical practice, workflow and organizational culture.

From Scenario To Safety: Simulation As A Catalyst For Infection Prevention, Brianne M. Bachman, Jennifer E. Jones, Jessica L. Mcclusky, Mallory Davis

Posters

Simulation-based education has emerged as a transformative tool in healthcare, bridging the gap between theoretical knowledge and clinical practice.

In the realm of infection prevention, simulation offers a controlled, risk-free environment to reinforce essential protocols, build competency, and identify system level vulnerabilities before harm occurs.

Forming Physicians For Others: The Identity Of The Jesuit Catholic Medical School, John Hardt, David G. De Marco Sj

Jesuit Higher Education: A Journal

Forming Physicians for Others: The Identity of the Jesuit Catholic Medical School

The Jesuit medical school accepts a widely-acknowledged telos: the preparation of the medical student to offer excellent patient care. It pursues this telos, however, through the distinctiveness of Ignatian formation, which finds expression in each domain of undergraduate medical education. This formative commitment, oriented toward and witnessing to an appreciation of the unconditional worth of the human being, may empower a subset of medical students—who are engaged by a life of faith and open to the transcendent invitation of their lives—to experience an even more fundamental transformation—one that …

Exploring Moral Distress In Pediatric Residents: Impact Of Structured Debriefing And Insights From Qualitative Interviews, Aashish Shah, Sarah Fleishaker, Danielle Key, Linda Tewksbury, Ami Shah, Kelley Groves

Journal of Wellness

No abstract provided.

Integrating Structural Analysis In The Pre-Appe Curriculum: Experiences From Three Institutions, Jennifer Ko, Sharon E. Connor, Emily K. Frederick, Katherine Foley, Emiline Snook, Ava Romah, Katie F. Leslie

Pharmacy Faculty Articles and Research

Background

Educational activity

Evaluation findings

Financial Implications Of Vascular Surgery Conference Fees, Alexandra Kats, Gerard M. Martin, Sanath Patil, Joshua R. Chen, Paul J. Dimuzio, Dawn Salvatore, Michael Nooromid, Babak Abai

Department of Surgery Faculty Papers

BACKGROUND: Conferences are an important venue for trainees and students to engage in scholarly activities and networking. However, cost presents a significant consideration for students looking to attend conferences as institutional funding varies. In this study, we analyze the attendance costs of vascular conferences.

METHODS: Thirty-one vascular surgery conferences were identified with 12 regional and 6 national, and 13 international. Invitation-only conferences were excluded from the analysis. Cost of attendance was stratified by early and regular registration timing and attending, trainee, and student status. Additionally, conference websites were queried individually for scholarship opportunities. Data was presented descriptively and compared using …

American Dental Association And American Board Of Dental Examiners Advance Dental Licensure Examinations Through New Agreement

New Orleans Dental Association News

The American Dental Association (ADA) and the American Board of Dental Examiners (ADEX) have finalized an agreement to license the ADA’s Dental Licensure Objective Structured Clinical Examination (DLOSCE) for incorporation into the ADEX Dental Examination, marking a significant step forward in modernizing dental licensure and advancing patient safety.

Show Me The Money: Finance Models In Epilepsy Practice., Deepti Zutshi, Emily Klatte, Maysaa Basha, Leisha Osburn, Eric Segal, Nina Garga, Rohit R Das

Medical Education Articles

Healthcare models and the finances associated with such models are complex. Patients with epilepsy (PWE) receive care in a variety of settings, and each is associated with differing reimbursement, financial levers, as well as unique strengths and weaknesses. As the financial climate of healthcare system changes rapidly in the setting of an aging population, physician shortages, and increasing costs of healthcare delivery, it is important for clinicians to understand the financial aspects of caring for PWE. In this review, we examine basic concepts in healthcare economics and then review the financial aspects of care in an academic context, a private …

Intouch Week Of June 8, 2026, New York Medical College

InTouch

• As COPD Rates Rise in Women, Clinical Trial Representation Lags
• Student Spotlight: A Look at Reimbursement Trends for Emerging Technologies
• Student Spotlight: Doneal Bromberg Receives Prestigious ASTRO Medical Student Fellowship

The State Of Interprofessional Education And Collaborative Practice In Ghana: Experts’ Perspective, Amy Bening, Victor Mogre, Yolande Heymans, Christmal Dela Christmals

Journal of Interprofessional Practice and Collaboration

ABSTRACT

Purpose: Interprofessional education (IPE) has gained recognition as the best form of preparing health professionals for Interprofessional Collaborative Practice (IPCP) in the healthcare settings. As such, many countries have inculcated IPE into the training of health professionals, but the state of IPE in the Ghana is unknown. Therefore, this study sought to explore the state of IPE and IPCP in Ghana.

Methods: The study employed a qualitative descriptive study in which 16 key informants were interviewed, and data was thematically analysed to describe the state of IPE and IPCP in Ghana.

Results: Three themes were identified and described: IPCP …

Transforming Student And Patient Lives In Guatemala, Ryan J. Grippo, Jarett C. Worden, Lawrence B. Stack, Kamini V. Kabilan, Aakanksha S. Khadye, Edison Nwobi, Sydney G. Wisnefski

Cumberland Medica

Abstract: Interprofessional healthcare service-learning experiences provide the environment for transformative growth of students. Belmont University’s faculty from the Frist College of Medicine and the College of Pharmacy and Health Sciences created an interprofessional healthcare service-learning experience for medical students and pharmacy students. This experience includes providing hands-on care in community health clinics in Guatemala as well as touring healthcare facilities in Guatemala. This reflection article highlights the details of the inaugural session of this experience and the transformative quality of this experience from the student perspective.

The Spiderweb Strategy: Building Strengths In All Directions, Nora Alu, Kerri Green Edd, Ms, Diane Hegedus Msn, Rn, Phrn, Cen, Npd-Bc, Lisa Keller Med, Jeanne M. Reilly M.Ed.

Department of Education

No abstract provided.

Does The Availability Of An Additional Set Of Bunker Gear Impact Firefighter Health, Safety, And Operational Readiness?, Ryan Riley

Certified Public Manager® Applied Research

Firefighting is a complex and inherently dangerous profession. Firefighters today face a growing array of occupational hazards, not just from the effects of being exposed to fire and smoke, but also from the personal protective gear they wear, commonly referred to as “bunker” or “turnout” gear. While this gear is designed to protect firefighters in dangerous environments, prolonged use and repeated exposure to smoke, chemicals, and products of combustion can compromise the gear. Research has shown that bunker gear contains and can also retain cancer-causing chemicals. To this end, this paper examines whether the availability of an additional set of …

Screen-Based Simulation Assessment For Emergency Medicine Learners: A Rapid Review, Patrick Zeniecki, Rebecca Kamens, Jared Kilpatrick, Dimitrios Papanagnou, Xiao C. Zhang

Department of Emergency Medicine Faculty Papers

BACKGROUND: Simulation has played a vital role in training medical professionals. The COVID-19 Pandemic has highlighted the need for physically distant educational assessment methods. Screen-based simulation (SBS) demonstrates one alternative to traditional in-person simulation methods to assess learners clinical reasoning and communication skills. This study aims to compare in-person simulation to SBS as assessment methods in Emergency Medicine (EM).

METHODS: A rapid review literature search methodology of an electronic database (PubMed) was performed in February 2022 with search terms such as "Computer Simulation," "Patient Simulation," "Simulation Training," "Education, Distance," "Virtual OSCE," "Academic Performance," or "Emergency Medicine." Reference lists of relevant …

Physicians’ Perceptions Of Factors Influencing Pediatric Athletic Healthcare Of Low Socioeconomic Status Patients, Mayrena I. Hernandez, Emily C. Srygler, Stephanie N. Adler, Thomas J. Swain, Marian E. Abowd, Kirsten M. Schneider, Jonathan A. Santana, Neeraj M. Patel, Justin S. Disanti, David Bell

Internet Journal of Allied Health Sciences and Practice

Purpose: A patient’s social determinants of health (SDOH) and socioeconomic status (SES) play an important role in the quality of healthcare they receive. Patients of low SES tend to face greater obstacles in receiving healthcare and experience greater health disparities. Understanding how physicians provide care for pediatric student athletes of low SES is critical in ensuring they can receive appropriate care. Methods: Thirteen physicians shared experiences they have in providing care to patients of low SES, including challenges they have encountered and what strategies, if any, in overcoming those challenges in providing equitable care. Data was collected via semi-structured interviews. …

Perceptions Of Shared Decision-Making And Interprofessional Education At National Collegiate Athletic Association Institutions, Shelene Thomas, Rebecca Downey, Kaylyn Mcanally Star, Erin Choice, Anthony P. Breitbach

Internet Journal of Allied Health Sciences and Practice

Purpose: When a shared decision-making design is employed in the return to sport (RTS) Continuum, the athletes’ outcome improves. Yet, many professional programs (i.e., athletic training and medicine) integrate interprofessional education into curricula differently or not at all. Therefore, there may be a mismatch between theory, curricula, and practice implementation. This discrepancy could impact care team operations and RTS outcomes. The purpose of this study was to assess perceptions of shared decision-making practices, communication strategies, and perceived barriers among interprofessional RTS care team members in NCAA intercollegiate athletics.

Methods: A mixed-methods, cross-sectional study including anonymous, web-based survey responses from 253 …

Agreement Among Experienced Physical Therapist Clinicians In Naming Nystagmus: A Mixed-Methods Study Design, Lori Ann Leineke, Alessandra N. Garcia, Bridget Eubanks

Internet Journal of Allied Health Sciences and Practice

Purpose: Labeling nystagmus requires clinicians to consider multiple aspects of its presentation. The extent to which physical therapists (PTs) use consistent terminology for describing nystagmus is unknown. Recommendations for proper terminology exist, but adherence during clinical assessment has not been determined. This study investigated whether PTs with advanced vestibular rehabilitation skills and training consistently use standardized vocabulary to describe nystagmus patterns. Methods: This descriptive, cross-sectional, mixed-methods study utilized an online survey methodology, which included eight free-response questions. Participants viewed videos of nystagmus through Infrared or Frenzel goggles and documented their observations. A codebook of responses was created for each question, …